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she has type 2 diabetes 1 year ago Lena has been overweight for a few years. She is 52 years old, and she found out that she has type 2 diabetes 1 year ago. She has been seeing a doctor at her physician’s office for nutrition information, and the doctor has referred her to a registered dietitian (RD) in the outpatient clinic at the nearby hospital. Kulkarni, KD.Clin. Diabetes 23:

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Lena brings her food records to her initial visit with the RD. The RD reviews the records, which consist only of Lena’s food choices with no portion sizes or amounts consumed listed. The RD recommends that Lena consider weighing and measuring her portion sizes and writing them down along with her food choices. The RD provides Lena with a copy of the American Diabetes Association (ADA) basic carbohydrate counting pamphlet1 and uses food models to demonstrate appropriate portions of the foods Lena might select. Kulkarni, KD.Clin. Diabetes 23:

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Definition of carbohydrate counting  Carbohydrate counting is a meal-planning approach and not a specific diet  It places emphasis on the total amount of carbohydrate consumed, rather than on the source or type of carbohydrate consumed Kulkarni, KD.Clin. Diabetes 23:

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Level 1 / Basic Carbing Goals 6 1. Carbohydrate Counting: Getting Started, The American Diabetes Association and The American Dietetic Association, Practical Carbohydrate Counting, American Diabetes Association, Using Carbohydrate Counting in Clinical Practice, JADA, 1988, v98, n8 Regulate blood glucose by balancing carbohydrate intake with the diabetes medication and physical activity Achieve and maintain consistency of carbohydrate intake at meals and snacks at similar times each day Eating similar amounts of carb foods at each meal or snack helps “even out” the ups-and-downs in your blood glucose level.

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Who Can Use Carbing  Carbohydrate counting can be used by anyone with diabetes, not just people taking insulin

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Why Should People with Diabetes Use Carbohydarte Counting???? Food contains many nutrients such as 1. Macronutrients : carbohydrate, protein, and fat 2. Micronutrients : vitamins and minerals

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Why Should People with Diabetes Use Carbohydarte Counting????

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 In fact, % of the carb you eat appears in your bloodstream as blood glucose within a few hours after you have eaten.  Protein and fat have much less effect on your blood glucose Why Should People with Diabetes Use Carbohydarte Counting???? Bolderman, K.M, Educational Information From BD Medical Diabetes Care

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Step 3 : Set Carbohydrate Goals  dietitian will help to set a goal for grams of carbohydrate at each meal and snack  This may be the same from day to day or may be flexible, depending on patient needs Canadian Diabetic Association, 2005